COLUMBIA (AP) — Deaths from opioid overdose could exceed traffic fatalities in Missouri this year, for the first time ever.

The Columbia Daily Tribune reports that the Missouri Department of Health and Senior Services has recorded 733 opioid overdose deaths through Aug. 31, compared to 591 traffic deaths recorded by the Missouri State Highway Patrol.

For all of last year, the state had 908 opioid overdose deaths and 947 traffic fatalities.

Opioid overdose deaths have become so alarming that President Donald Trump declared a public health emergency. In Missouri, nine summits are taking place across the state to help first responders and others deal with the epidemic.

The St. Louis area is particularly hard-hit. So far this year, 175 deaths have been recorded in St. Louis County and 125 in St. Louis city, 53 in Jefferson County and 46 in St. Charles County.

Other counties with high numbers of deaths include Jackson County with 58 and Greene County with 46.

"In St. Louis we have people dying of fentanyl. In rural Missouri, especially in southeast Missouri, it is the number of prescriptions being filled and the misuse and abuse of oral narcotics," Missouri Department of Health and Senior Services Director Randall Williams said.

The numbers could be worse. The Columbia Fire Department has responded to 309 overdose calls this year — an average of one each day. The department has administered the anti-overdose drug naloxone 17 times. The University of Missouri Hospital emergency room has administered it 38 times.

In one recent case, fire Lt. Michael Holz said a young man didn't have time to put the needle away before he was dead.

"The needle wasn't in his arm, it had obviously fallen out, but it killed him instantly," Holz said.